Advanced Pain Care Clinic PSC

Organization Active NPI Interventional Pain Medicine Physician · Madisonville, KY

NPI 1043712417 · NPPES record last updated Mar 1, 2018

Key facts

NPI
1043712417
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
License
37465 (KY)
Legal business name
ADVANCED PAIN CARE CLINIC PSC
Practice address
200 Clinic Dr FL 6
Madisonville, KY 42431-1661
Phone
(812) 477-7246
NPI assigned
Mar 1, 2018
Organization subpart
No

Authorized official

Name
Mahendra R. Sanapati, MD
Title
President
Phone
(812) 477-7246

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Advanced Pain Care Clinic (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208VP0014X 37465 KY Yes

Addresses

Primary practice location

200 Clinic Dr FL 6
Madisonville, KY 42431-1661

Mailing address

PO Box 5249
Evansville, IN 47716-5249
Phone (812) 477-7246

Other providers in Madisonville, KY

All providers in Madisonville, KY · Interventional Pain Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.